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ICD-10 Coding Integrity Equates to Data Integrity – And it’s a Must for our Healthcare Future

Coded data represents the foundational elements for healthcare decision-making, research, quality of care, monitoring of population health, pay for performance, payment, disease management, clinical registries, fraud and abuse monitoring and identification, and injury monitoring. These few words are similar to those I provided in April 1996, when I gave testimony at the Subcommittee on Health […]

Doctor, Documentation Really Does Matter

Documentation should paint a picture of the patient’s condition. Medical necessity drives every patient encounter. In fact, the Comprehensive Error Rate Testing Program (CERT) states that “medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT code.” Diagnosis coding is very important for any specialty, […]

Interest in ICD-10 Reporting Remains Unabated

With the enormous volume of reporting during recent years on the nation’s healthcare industry implementing the ICD-10 code set, one might conclude that the subject is now old news. After all, ICD10monitor began its coverage of the migration from ICD-9 to ICD-10 in 2011, via both its website as well as its Internet radio broadcasting. […]